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Samuel Chand Tyagi, MD
Vascular Surgery Physician in Lexington, Kentucky
NPI 1053638734

Samuel Chand Tyagi is a Vascular Surgery Physician based in Lexington, KY and is specialized in Vascular Surgery. Samuel Chand Tyagi practices in Lexington, KY and has the professional credentials of MD. The NPI Number for Samuel Chand Tyagi is 1053638734 and holds a License No. (Kentucky).

The current practice location address for Samuel Chand Tyagi is 800 Rose St # C212, Lexington, KY and can be reached out via phone at 859-323-6602 and via fax at 859-323-6840.

Location: 800 Rose St # C212, Lexington, KY, 40536-0293
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053638734
Provider Name
Samuel Chand Tyagi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 Rose St # C212, Lexington, KY, 40536-0293
Phone Number
859-323-6602
Fax Number
859-323-6840
Provider Enumeration Date
04/21/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50119 01 KY LICENSURE
institution
Provider Business Practice Location Address Details
Address
800 Rose St # C212
City
Lexington
State
Kentucky
Zip
40536-7001
Phone Number
859-323-6602
Fax Number
859-323-6840
person
Provider Business Mailing Address Details
Address
800 Rose St # C212
City
Lexington
State
Kentucky
Zip
40536-7001
Phone Number
859-323-6602
Fax Number
859-323-6840
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
50119 (Kentucky)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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